Instramed CardioMax Quick Start Manual
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Instramed CardioMax Quick Start Manual

Cardioverter/biphasic defibrillator monitor
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Quick start guide
Cardioverter/Biphasic Defibrillator Monitor

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Summary of Contents for Instramed CardioMax

  • Page 1 Quick start guide Cardioverter/Biphasic Defibrillator Monitor...
  • Page 2 For information about warranty or technical assistance, please contact Instramed’s technical support. Copyright © 2017 Instramed. The CardioMax, Instramed and its respective logos are trademarks of Instramed Indústria Médico Hospitalar Ltda. The internal software of this product is Instramed’s intellectual property, being protected under international copyright laws.
  • Page 3 Battery use Attention - first use Before using the CardioMax for the first time, the equipment must receive a full battery charge. In order to do this, the equipment needs to be connected to an electric current for at least eight hours.

  • Page 4: Table Of Contents

    Index Presentation Optional items ......................08 Safety information About this guide ......................09 Device care ....................... 09 Grounding ......................... 09 ECG misinterpretation ....................09 Warnings ........................09 The equipment Front panel ....................... 11 Side view ........................12 Rear connectors ....................... 13 Screen and operation Turning and operating ....................
  • Page 5 Step 3 - Select AED ..................... 24 Step 4 - Deliver shock ..................25 Step 5 - Start CPR ....................25 Using the CardioMax on children under 8 years old ..........25 Pacemaker mode Operating in pacemaker mode ................. 26 Starting stimulation ....................
  • Page 6 Quick start guide | Index ST Segment NIPB monitoring Monitoring Non-Invasive Pressure ................31 Placing the armband ....................31 Measurement modes ....................31 NIBP numeric indicator ..................... 32 Monitor mode - SpO Monitor mode - Capnography Capnography monitoring ..................34 EtCO numeric indicator ...................
  • Page 7 Using the CPR Maestro .................... 40 PC connection Requirements ......................41 SoftDEA Installation ....................41 Connecting the CardioMax to a PC ................41 RTC Installation ......................42 Battery use Power and battery charging indications ..............43 First use ........................43 Occasional use ......................

  • Page 8: Presentation

    Removable Battery. Optional items This manual refers to all of CardioMax’s functions, however, some of them are optional and may not be present in your equipment. The icon beside will appear next to the text, whenever an optional characteristic is mentioned.

  • Page 9: Safety Information

    This guide does not substitute the user manual. Its function is to familiarize the user with the main functions and ways of operating the equipment. For detailed information on the functioning of the CardioMax, please consult the user manual on the CD which accompanies the product.
  • Page 10 Quick start guide | Safety information WARNING: The use of the CardioMax is restricted to one patient at a time. IMPORTANT: This device must only be operated by qualified technical personnel. Before using, read the manual attentively. NOTICE: the applied parts intended to come into contact with the patient have been evaluated and comply with the directives and principles of ISO 10993-1.

  • Page 11: The Equipment

    The equipment Front panel 1. Transport handle. 2. LCD screen. 3. Selector switch: turns the equipment on and off. Selects the operation mode (see following chapters). 4. Quick access buttons (see “quick access buttons”). 5. E-Jog Control: equipment general configuration. 6.

  • Page 12: Side View

    Quick start guide | The equipment Side view 1. Printer: printer for thermosensitive paper. It prints electrocardiograms and events. For more information view the “Printing” chapter. 2. SpO connector: BCI standard oximetry connector. Adult and child oximetry sensors. 3. USB connector: USB connector for access to data stored by the AED mode. 4.

  • Page 13: Rear Connectors

    3. Grounding and potential equalizer: potential equalization and general ground- ing connector. 4. RS-232 output: cable socket for updating software (reserved for authorized technical personnel). More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 14: Screen And Operation

    Screen and operation Turning and operating Use selector switch for turning CardioMax on and off. When turning on, the operator must immediately select an operation mode. Auto Seq. Monitor Pacemaker 1. Selector switch: selects the operation mode. 2. Defibrillator mode: selects shock energy (1 to 360 J scale).

  • Page 15: Operating The E-Jog Control

    Quick start guide | Screen and operation Operating the e-Jog Control The e-Jog Control is used to access many functions and menus of the CardioMax, such as configuring alarms, defining the information displayed on the screen, altering parameters, etc. Quick access buttons...

  • Page 16: Parameters Visualization Screen

    Quick start guide | Screen and operation Parameters visualization screen 5 leads DEMAND PAUSE Connect 07/10/12 Multifunctional Paddles Modo: Adult 1. ECG: ECG measurements and ECG alarms. 2. Pacemaker or defibrillation modes: area for the defibrillation or pacemaker modes. 3. SpO 2 : Oximetry measurements and oximetry alarms. 4.

  • Page 17: Access Icons For Events And Configuration Functions

    3. Printer menu shortcut: prints and configures the printing parameters. 4. Alarms menu shortcut: direct access to the menu which configures the alarms. More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 18: Alarms

    Physiological alarm: there are two ways to enable the physiological alarm indications: Asistoly and Violation of MAXIMUM or MINIMUM limits. Technical alarm: sound and visual signals indicate that the CardioMax is not able to accurately monitor the patient’s status. More information on this topic is available in the CardioMax User Manual...

  • Page 19: Defibrillator Mode

    Defibrillator mode Warnings The CardioMax has a patient impedance meter that delivers shocks in 25 to 300 ohms impedances. If a cable or conductor is suspected of being ruptured, avoid using the equipment. Ensure that the defibrillation electrodes of the CardioMax are at an appropriate distance from other electrodes so that the power applied does not flow through these electrodes.

  • Page 20: Child Pads Use

    3 - This exposes the smaller electrode for children. A. Adult pad (w/ the base). B. Child pad (w/o the base). The CardioMax will automatically identify that it is operating in pediatric mode. Energy is limited to 50 Joules in the pediatric mode.

  • Page 21: Defibrillation

    Press the “Charge” button (green) in the front panel or use the charge button in the external pads (orange). While the CardioMax is charging, a sound will be emitted and the measurement of the charged energy will appear on the display.

  • Page 22: Disarm Key

    Follow steps 1-2-3 for defibrillation. IMPORTANT: Keep key 3 (shock) or the two shock pad’s buttons pressed until the next “R” wave is identified. The CardioMax will deliver the shock when the next “R” wave is identified.

  • Page 23: Charge Auto-Sequencing Mode (Auto Seq)

    Press the “charge” key and wait until the equipment sends the charge ready signal. Step 4 Press the “shock” key. More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 24: Aed Mode

    ATTENTION: the area in contact with the pads must be dry. Step 3 - Select AED Rotate the selector switch to the AED position. The CardioMax will automatically enter cardiac rhythm analysis mode and will start giving vocal instructions.

  • Page 25: Step 4 - Deliver Shock

    After the shock, start the CPR procedure. Using the CardioMax on children under 8 years old The CardioMax can be used on children from the age of one year onwards. However, on patients from one year of age to eight years of age or patients who weigh less than 40kg, some precautions must be taken: •...

  • Page 26: Pacemaker Mode

    4. mA: alters the stimulation current in milliamperes. Starting stimulation 1 - If not yet connected, connect the adhesive pads cable to the CardioMax. 2 - Insert the adhesive pads connector into the equipment’s extension cable. 3 - Put the adhesive pads on the patient according to package instructions.
  • Page 27 (adhesive) paddles or contact with the patient. If defibrillation is necessary, turn the switch to defibrillation mode. The CardioMax automatically inhibits the pacemaker’s stimulation pulse. More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 28: Monitor Mode - Ecg

    5 - Connect the patient's ECG cable to the electrodes. 3-wire cable 5-wire cable (3 leads) (7 leads) 10-wire cable C5 C6 (12 derivations) More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 29: Operating In Monitor Mode - Ecg

    2. ECG numeric value and BPM measuring unit. 3. “BELL” icon indicates that the alarm has been activated, inhibited or suspended. More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 30: St Segment

    The visual indication will occur in the column at the end of the parameter curves, before the numerical values. Note: When available 5 leads ST (mm) -0.1 INFOCENTER 15:27 29/03/18 More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 31: Nipb Monitoring

    NIPB monitoring Monitoring Non-Invasive Pressure 1 - Connect the extremity of the extension hose to the equipment’s front panel. 2 - Measure the limb in which the armband will be applied to and select an adequate type. 3 - Place the armband according to the “Placing the armband” item. 4 - Connect the armband to the extension hose.

  • Page 32: Nibp Numeric Indicator

    120/80 2. Number of measurements exerted (used in automatic measurements). (100) 3. Time interval between measurements (used in automatic measurements). More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 33: Monitor Mode - Spo

    4 - Patient’s pulse frequency value, 2 - Digital scale indicating pulse amplitude. obtained by the oximetry sensor. More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 34: Capnography Monitoring

    3. Respiratory numeric value and the mea suring unit. 4. The “BELL” Icon – indicates audio in pause or off. More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 35: Monitor Mode - Respiration

    Yellow indicators show that the respiratory frequency is originated via ECG cable, blue indicators show that the respiratory frequency is originated via capnography. More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 36: Event And Data Storage

    Event and data storage Data storage The CardioMax creates an event list for each patient observing the following criteria: • Automatically: a new patient is identified every time the equipment is turned on. • Manually: via the events setup menu.

  • Page 37: Printing

    3 seconds 3 seconds 1 - Instant printing When the print button is pressed for LESS than three seconds, the CardioMax prints a fast report. Quick Printing - GSI printer: Shock: Time:...

  • Page 38: Continuous Printing

    Hour: 12:25 Hora: 12:25 2 - Continuous printing When the print button is pressed for MORE than three seconds, the CardioMax prints a continuous report for an indeterminate period of time or until printing is interrupted. 3 - Stop printing To interrupt continuous printing or instant printing, press the print key again.

  • Page 39: Rtc - Real Time Check

    Transmission of this information, wirelessly, to a computer with RTC system software installed on it and within reach of the network. More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 40: Cpr Maestro

    The parameter will be automatically turned off on the CardioMax screen. Using the CPR Maestro 1 – Connect the CPR Maestro to CardioMax, using the input indicated, located on the side of the equipment. 2 – Place the device on the patient’s chest.

  • Page 41: Pc Connection

    On the language selection screen, choose among Spanish, English or Portuguese. You only have to select a language the first time you start the software. • After the software reads the CardioMax data, the ECG and the events list will appear on the software’s screen.

  • Page 42: Rtc Installation

    USB prior to installing the SW. After completing the installation, links will be created to run the program on the Windows start button and on the desktop. More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 43: Battery Use

    First use Before using the CardioMax for the first time, the equipment must receive a full battery charge. In order to do this, the equipment needs to be connected to an electric current for at least eight hours.
  • Page 44 4 - Correctly position the new battery. 5 - Push the new battery until it firmly locks into the cabinet. More information on this topic is available in the CardioMax User Manual present on the CD which accompanies the product.

  • Page 45: Care And Maintenance

    Functional tests must be performed at the beginning of every work shift. Corrective maintenance If the equipment needs repair, this can only be done by Instramed or its authorized representative, otherwise this Warranty certificate may no longer be valid. No internal parts are to be fixed by the user.

  • Page 46: Warranty Certificate

    This also applies in case of alterations made to this contract, the fiscal receipt, or to the equipment’s serial number. Instramed Indústria Médico Hospitalar Ltda. is not responsible for the improper use of this equipment, by people who are not familiar with its function or the techniques recommend for its proper use.
  • Page 47 Biphasic Monitor Defibrillator www.instramed.com.br +55 (51) 3073 8200...

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